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1306378906
LINDSEY PROVENCHER
MODESTO, CA
NPI
1306378906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CA PCCI2758)
Enumeration Date
2017-04-01
Last Update Date
2017-05-01
Business Address
-- LINDSEY PROVENCHER PCCI
707 14TH ST
MODESTO, CA 95354-2506
Phone number: 209-525-5080
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Mailing Address
-- LINDSEY PROVENCHER PCCI
707 14TH ST
MODESTO, CA 95354-2506
Phone number: 209-525-5080
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